| NPI | 1174930002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI SINHA President 314-616-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 2004025287) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |